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    Blank Online Dispute Form

    Uploaded by

    Musara Pettie
    Econet dispute form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Blank Online Dispute Form

    Uploaded by

    Musara Pettie
    9 views2 pages
    Econet dispute form

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    Econet dispute form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    9 views2 pages

    Blank Online Dispute Form

    Uploaded by

    Musara Pettie
    Econet dispute form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Dispute Resolution Form Chargeback Reference:____________

    Transaction Information:
    Acquirer’s Reference Data or Switch Serial Number:
    Merchant Name: Mastercard Transaction or Settlement Date: 05/03/2024
    Transaction Amount: $30.29 Disputed Amount: $29.99

    Cardholder details:
    Cardholder full name: Ronald Chiwomadzi Identity number: 08-2133870V42
    Contact number: 0773887967 Email address: [email protected]
    Wallet ID: Card Number: 69393

    Complete Section A or Section B as applicable and Section C:

    Section A
    Cardholder Dispute Chargeback

    Type of Cardholder Dispute (check one):


    Goods or services were not as described or defective, includes shipped merchandise received
    damaged or not suitable for its intended purpose or merchant didn’t honor the terms and conditions
    of a contract.
    Delivery date of the goods or services:
    Goods or services were not provided
    Expected delivery date of the goods or services:
    Digital goods were purchased totaling USD 25.00 or less and did not have adequate purchase
    controls
    * Credit not processed
    Return or cancellation date: 12/03/24
    Counterfeit goods alleged to be authentic were purchased
    Recurring transaction cancelled prior to billing
    Cancellation date:
    Recurring agreement was not properly disclosed
    Addendum dispute
    “No-Show” hotel charge was billed
    Purchase transaction did not complete
    Timeshare agreement or similar service provision was cancelled within Mastercard time frame
    Credit posted as a purchase

    Cardholder Participation:
    Did the cardholder participate in the transaction? * Yes No

    1|Page of 3
    Section B
    Point of Interaction (POI)

    Type of Point of Interaction (POI) Error (check one):

    The cardholder was debited more than once for the same goods or services.
    Alternate means of payment details:

    The cardholder was debited an incorrect amount.

    The cardholder was billed for loss, theft, or damage in the same transaction as the underlying initial
    service.

    The cardholder states that he or she was not given the opportunity to choose the desired currency
    in which the transaction was completed or did not agree to the currency of the transaction.

    The merchant processed a credit (instead of a reversal) to correct an error which resulted in the
    cardholder experiencing a currency exchange loss.

    Section C
    Dispute Details
    Describe the cardholder’s compliant in sufficient detail to meet the requirements for the chargeback as
    described in the Chargeback Guide and to enable all parties to understand the dispute

    On the 5th of May 2024 an amount of $30.29 was credited from my


    Mastercard for an Apple subscription of a kids application called Bedtime
    stories with $29.99 being the actual subscription money and the
    remaining for tax. I requested for a refund from Apple and the refund was
    granted on the 12th of March but my money hasn’t reflected yet in my
    Ecocash account.

    Mastercard will determine whether this information contains sufficient detail.

    “The issuer certifies that it complies with Mastercard Bylaws, Rules, policies and operating regulations and
    procedures of Mastercard (the “Standards”), written agreements and privacy laws and regulations applying to the
    protection of personal data. The issuer agrees that the personal data collected may be used according to Mastercard
    Standards and Mastercard’s Global Privacy Notice on http://www.mastercard.us/privacy/. I certify that the facts were
    obtained from my discussion with the cardholder or the company/government agency representative on behalf of the
    corporate/government card cardholder and that the facts are accurate to the best of my knowledge.”

    Customer Service/Chargeback Representative Date

    I certify that the information herein is accurate and complete. I hereby indemnify you, your employees or agents against any claim,
    loss or damages both direct and indirect, which may arise as a result of actions taken based on the information provided in this
    Dispute Form.

    15/03/24
    Cardholder Signature Date

    2|Page of 3

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